Abstract :
Unwanted pregnancy in teenagers is the impact of deviant sexual behavior. Adolescents with Unwanted pregnancy are faced with various problems, especially health problems for mothers and babies, and socio-economic problems. This research aims to examine the determinants of untimely pregnancy in adolescents in North Konawe Regency. The research design uses a Cross Sectional Study conducted in September 2022-February 2023 in three randomly selected sub-districts of North Konawe Regency. A total of 80 teenage girls aged 14-19 years who experienced untimely pregnancy were sampled. The research uses a structured questionnaire technique guided by researchers which has been previously tested and analyzed using the Fisher Exact test. The results of the bivariate analysis showed that the variables were Knowledge (p=0.568>0.05), Attitude (p=0.002<0.05), Action (p=0.74>0.05), Permissive Parenting Pattern (p=0.109>0.05), Peer Pressure Peers (p=0.592>0.05), Use of Technology (p=0.034<0.05) and Religiosity (p=0.001<0.05). The results of this research show that there is a relationship between Attitude, Use of Technology and Religiosity, and there is no relationship between Knowledge, Action, Permissive Parenting Patterns and Peer Pressure with Unwanted Pregnancy in teenagers in the North Konawe Regency Area. Thus, the Reproductive Health Education program for Adolescents in formal education involves education stakeholders including the School Committee which is a reference material and a program to reduce the number of unwanted pregnancy in adolescents in the North Konawe Regency area.
Keywords :
Unwanted Pregnancy; knowledge; attitude; action; permissive parenting; use of technology; religiosity.References :
- Pandey PL, Seale H, Razee H. Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal. PLoS One. 2019;14(8):1–19.
- Panjaitan AA. Model of Prevention of Adolescent Unwanted Pregnancy in Indonesia: Review Article. Int J Res Law, Econ Soc Sci. 2019;1(2):60–73.
- Sari DADP, Indriani D. Literature Review : Determinan Terjadinya Kehamilan Tidak Diinginkan Pada Remaja di Indonesia
- Literature Review : Determinants of Unwanted Pregnancy in Adolescents in Indonesia. Media Gizi Kesmas. 2021;10(2):1–5.
- WHO. Adolecent Pregnancy. 2022.
- Girlhood G. The Global Girlhood Report 2020. London: Save the Children St Vincent House; 2020.
- UNFPA. Mothers too young: Understanding the patterns of child marriage, early union and teen pregnancy in Southeast Asia. https://asiapacific.unfpa.org/. 2018.
- Ministry of Women’s Empowerment and Child Protection of the Republic of Indonesia. Perkawinan Anak Ancam Masa Depan Anak. 2022.
- Andina E. Meningkatnya Angka Perkawinan Anak Saat Pandemi COVID-19. Info Singk Kaji Singk Terhadap Isu Aktual dan Strateg. 2021;13(4):13–8.
- Jayani DH. Dispensasi Perkawinan Anak Meningkat 3 Kali Lipat pada 2020. 2021.
- Dihni VA. Selama 2021, Angka Dispensasi Pernikahan Anak Menurun 7%. 2021.
- Dian Agustin M, Apriliyani R. Faktor Penyebab Melonjaknya Angka Perkawinan Anak Di Kalangan Remaja Selama Pandemi Covid-19. J Sipakalebbi. 2022;6(1):65–70.
- Karaçam Z, Kizilca Çakaloz D, Demir R. The impact of adolescent pregnancy on maternal and infant health in Turkey: Systematic review and meta-analysis. J Gynecol Obstet Hum Reprod. 2021 Apr;50(4):102093.
- Pertiwi NFA, Fitriani H, Anjarwati. Causes and Impacts of Unwanted Pregnancy in Adolescents. InProceeding Int Conf 2019 Heal Act Ageing. 2019;1(1):130–41.
- Kemenkes RI. Penurunan Prevalensi Stunting tahun 2021 sebagai Modal Menuju Generasi Emas Indonesia 2045. 2021.
- Oot L, Sethuraman K, Ross J, Sommerfelt AE. Estimating the Impact of Two Common Risk Factors for Stunting –
- Inadequate Dietary Diversity and Teenage Pregnancy : Models in PROFILES for Country-Level Advocacy. Food Nutr Tech Assist III Proj. 2018;(June).
- Atuhaire S. Abortion among adolescents in Africa: A review of practices, consequences, and control strategies. Int J Health Plann Manage. 2019 Oct;34(4):e1378–86.
- Franjic S. Adolescent Pregnancy is a Serious Social Problem. J Gynecol Res Obstet. 2018;4:6–9.
- de Almeida N, Teixeira A, Capoco Sachiteque A, Molina JR, Dos Prazeres Tavares H, Ramalho C. Characterisation of induced abortion and consequences to women’s health at Hospital Central do Huambo – Angola. J Obstet Gynaecol J Inst Obstet Gynaecol. 2020 May;40(4):558–63.
- BPS 2022. Catalog : 1101001. Stat Indones 2020. 2020;1101001:790.
- Ashari A, Ria Yulianti Triwahyuningsih, Fika Nurul Hidayah. Determinants of Adolescent Sexual Behavior in Cirebon Regency. Sci Psychiatr. 2022;3(3):267–71.
- Shrestha RB. Premarital Sexual Behaviour and its Impact on Health among Adolescents. J Heal Promot. 2019;7(June):43– 52.
- Yusran S, Astina, Sabilu Y, Sety LOM, Akifah, Rezal F. Premarital Sexual Behavior Among Urban-rural School Teenagers in Southeast Sulawesi , Indonesia : Comparative Study. Unnes J Public Heal. 2022;11(1):65–74.
- Prihayati, Abdullah T, Suriah, Indar. The effect of family aspects on premarital sexual behavior at risk of unintended pregnancy among adolescents a qualitative case study at pulogadung sub-district community health center, East Jakarta. Eur J Mol Clin Med. 2020;7(7):5125–31.
- Yusran S, Sabilu Y, Yuniar N, Hanafi H, Badara H. The Needs of Sexual and Reproductive Health Education for Secondary School in Kendari City, Southeast Sulawesi, Indonesia. Indian J Sci Technol. 2018;11(23):1–9.
- Adegboyega LO, Ayoola VA, Muhammed S. Influence of Peer Pressure on Sexual Behavior of Undergraduates in Kwara State. Anatol J Educ. 2019;4(1):49–58.
- Fitrian H, Suwarni L, Hernawan AD. Determinan Perilaku Seks Pranikah Remaja di Kota Pontianak Tahun 2019. J Vokasi Kesehat. 2019;5(2):107–14.
- Pakpahan M, Siregar D, Susilawaty A, Tasnim T, Ramdany R, Manurung EI, et al. Promosi Kesehatan dan Perilaku Kesehatan. Yayasan Kita Menulis; 2021.
- Sunardi KS, Martha E, Guspaneza E. Potret Self-system Remaja dengan Perilaku Tindakan Seksual Berisiko di Provinsi Jambi. J Promosi Kesehat Indones. 2020;15(2):59–64.
- User Commit To. 2018;
- Maharjan SK, Devkota B, Budathoki CB. Early Sexual Behaviours and Academic Performance of In-school Adolescent Girls in Kathmandu Valley. J Heal Promot. 2018;6(June):70–9.
- Septiarum R, Suwarni L, Alamsyah D. Unwanted pregnancies and early marriage child aged 13-18 years. Indian J Public Heal Res Dev. 2019;10(12):1792–7.
- Jannah SN, Cahyono R. Hubungan Pola Asuh Permisif dengan Perilaku Seksual Pra Nikah Remaja. Bul Ris Psikol dan Kesehat Ment. 2021;1(2):1347–56.
- Faudzi NM, Sumari M, Mohamad Nor A. Social Environmental Factor of Unwanted Pregnancy: An Experience of Mothers and Adolescents with An Unwanted Pregnancy. Malaysian J Soc Sci Humanit. 2022;7(10):e001839.
- Damtie Y, Cherie N, Fentaw H, Kefale B, Addisu E, Yalew M, et al. Pre-marital sex and its association with peer pressure and watching pornography among young individuals in Ethiopia: a systematic review and meta-analysis. Sci Rep. 2022;12(1):1–11.
- Wijayanti YT, Martini, Prasetyowati, Fairus M. Religiosity, the role of teen parents and the exposure of pornography media to adolescent sexual behavior in East Lampung region high school. Enferm Clin. 2020;30:122–8.
- Novita E, Psikologi J, Psikologi F, Kunci K, Menonton K. ANTHROPOS: Jurnal Antropologi Sosial dan Budaya FaktorFaktor yang Mempengaruhi Kebiasaan Menonton Film Porno pada Remaja. J Antropol Sos dan Budaya. 2018;4(1):31–44.
- Cici NM, Notoatmojo S, Ulfa L. Determinan Perilaku Pacaran Pada Remaja. J Kesehat Komunitas. 2021;6(3):272–80.
- Graham J. Towl and Tammi Walker. Tackling Sexual Violence at Univerisities. 2019. 34 p.
- Bonar EE, Degue S, Abbey A, Coker AL, Lindquist CH, Mccauley HL, et al. Prevention of sexual violence among college students: Current challenges and future directions. 2023;70(2):575–88.
- Bain LE, Zweekhorst MBM, Buning T de C. Prevalence and determinants of unintended pregnancy in sub –saharan africa: A systematic review. Afr J Reprod Health. 2020;24(2):187–205.
- Wang Y, Fu Y, Ghazi P, Gao Q, Tian T, Kong F, et al. Prevalence of intimate partner violence against infertile women in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Glob Heal. 2022;10(6):e820–30.
- Zagoto RK, Silaen M, Panjaitan IM. Analysis of Mixed Method of the Effect of Dating Status on Sexual Behavior in Adolescents Grade XI at SMAXYZ Medan. J Asian Multicult Res Med Heal Sci Study. 2021;2(2):45–53.
- Widman L, Evans R, Javidi H, Choukas-Bradley S. Assessment of Parent-Based Interventions for Adolescent Sexual Health: A Systematic Review and Meta-analysis. JAMA Pediatr. 2019;173(9):866–77.
- Mustafainah A, Qibtiyah A, Ridwan AI, Sandiata B, Christina Yulita Purbawati DM, Situmorang, et al. Catatan Tahunan Kekerasan Terhadap Perempuan Tahun 2019: Kekerasan terhadap Perempuan Meningkat: Kebijakan Penghapusan
- Kekerasan Seksual Menciptakan Ruang Aman Bagi Perempuan dan Anak Perempuan. In: … From Komnasperempuan Go…. 2020. p. 129.
- Alzate MM, Villegas S, Salihu HM. The power of culture and context on Hispanic/Latina teen pregnancy and birth in Oklahoma: provider and parental perspectives. Soc Work Health Care. 2018;57(10):890–905.
- Madubuike, O. G. Adolescents Sexual Activities And Pornography. Int J Psychother Africa 4(1)129-133. 2019;4(1):129–33.
- Panting AJ, Abdullah H, Roslan S, Ismail IA. Potential social risk factors for teenage pregnancy in sarawak. Pertanika J Soc Sci Humanit. 2019;27(1):425–41.